Organization
ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES L. BAKER (PRESIDENT)
(630) 966-4001
Entity
Organization
Contact information
Practice address
5342 W ELM ST, MCHENRY, IL 60050-4029
(630) 859-1291
(815) 344-2497
Mailing address
5342 W ELM ST, MCHENRY, IL 60050-4029
(630) 859-1291
(815) 344-2497
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
03/14/2019
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